Provider Demographics
NPI:1356551881
Name:YU, DORIS YUEMIN
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:YUEMIN
Last Name:YU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YUEMIN
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6610 THORNTON PL
Mailing Address - Street 2:APT. 1M
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5148
Mailing Address - Country:US
Mailing Address - Phone:718-261-7879
Mailing Address - Fax:
Practice Address - Street 1:6610 THORNTON PL
Practice Address - Street 2:APT. 1M
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-5148
Practice Address - Country:US
Practice Address - Phone:718-261-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000716171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist